| Hall Medical Llc | |
|
690 E Warner Rd Ste 127 Gilbert AZ 85296-3057 | |
| (480) 874-7331 | |
| (480) 865-2753 |
| Full Name | Hall Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 690 E Warner Rd Ste 127, Gilbert, Arizona |
| Authorized Official Name and Position | Drew V Hall (OWNER) |
| Authorized Official Contact | 4808747331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hall Medical Llc Po Box 862 Chandler AZ 85244-0862 Ph: (480) 255-9484 | Hall Medical Llc 690 E Warner Rd Ste 127 Gilbert AZ 85296-3057 Ph: (480) 874-7331 |
| NPI Number | 1629702659 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 3971986985 |
|---|---|
| Medicare Enrollment ID | O20220823003206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629702659 | NPI | - | NPPES |
| 915630 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Drew V Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205129798 PECOS PAC ID: 0547487498 Enrollment ID: I20140816000116 |
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